PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO:

My Country Heart
1447 Belle Meade Rd
Copley, Ohio
United States  44321
Phone #: 330-666-5683
Fax #:
Email: kathiegivens@roadrunner.com

Circle Payment Method:          Check    Money Order    VISA    MasterCard      

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  Address:   Email:
  City:   Credit Card Number:
  State & Zip:   Expires:
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Item Name and Description

Quantity

Price
     
     
     
     
     
     
     
     
     
     
     
     
     
 
    

Subtotal:  

    

Shipping and Handling:  

    
Ohio residents must add 6.25% sales tax-   
    

MAKE CHECKS PAYABLE TO: Kathie Givens  

Total :

 


Thank you for shopping at My Country Heart.